Job ID:WI-CT-4132
Job Title:VP, Contracting | Network | Provider Engagement
Primary Skills:

VP, Contracting | Network | Provider
Engagement - MILWAUKEE



Join an
exceptional leadership team here in
WISCONSIN.  Working closely with a very accomplished CEO, you will have
excellent opportunity for career development.

relocation – strong benefits, bonus and equity.


VP will
lead and mentor a team focused on the provider network and contracting
activities. Drive network strategy including, access analysis, network
operations and support decision makers with analysis related to reimbursement
and unit cost management.

Experienced leader will establish the department’s strategic vision,
objectives, and policies and procedures. Develop, implement and maintain
production and quality standards for the Contracting department.

Oversee network development staff and external consultants in the development
of provider networks across expansion markets.

Perform periodic analyses of the provider network from a cost, coverage, and
growth perspective.

leadership in evaluating opportunities to expand or change the network to meet
Company goals.

Manage budgeting and forecasting initiatives for product lines to networks
costs and provider contracts.

Oversee analysis of claim trend data and/or market information to derive
conclusions to support contract negotiations


Conduct periodic review of provider contracting rates to ensure strategic focus
is on target with overall Company strategy.

Support market expansion and M&A activities by leading provider contract
analysis related to due diligence.

Assist health plan CEO and/or COO vendors in key provider relations and


-Bachelor's degree or equivalent experience in Business Administration,
Healthcare Administration or related field.

-MBA or
MHA degree preferred.

years of experience in managed care network development and provider
relations/contracting management in a health care and/or managed care

management experience including responsibilities for hiring, training,
assigning work and managing performance of staff.